Individual provider · Type 1 NPI

Justin Mullen

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1801359401 Active

Practice location

110 Bergen St
Newark, NJ 07103-2495

Call (201) 742-2802 Map

Mailing address

45 Pine Pl
Harrington Park, NJ 07640-1109

Other practice locations

  • 30 Prospect Ave, Hackensack, NJ 07601-1915 · (201) 742-2802

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801359401

Justin Mullen's National Provider Identifier is 1801359401, issued on Apr 10, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Apr 10, 2019.